I think the hospitals have a very good reason for their rules. You cannot use a taxi, Uber, or some other public service because they want you to use someone who will take responsibility for you. They even want your helper to stay with you at home for a while to make sure you don’t have a bad reaction.
As for why someone has to wait at the surgery center, maybe they just want to be sure you have someone to help you. I suspect people previously would have someone drop them off and the driver would leave and not come back.
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